PreRegistration/Insurance Verification Rep (Panhandle region, full time) - (Pensacola, FL)

SUMMARY OF DUTIES – Responsible for timely and accurate pre-registration and insurance verification. Accurately interprets managed care contracts. DUTIES INCLUDE BUT ARE NOT LIMITED TO: • Perform pre-registration and insurance verification within 24 hours of receipt of reservation or notification for both inpatient and outpatient services • Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification details • Contact physician to resolve issues regarding prior authorization or referral forms • Assign Iplans accurately • Perform electronic eligibility confirmation when applicable and document results • Research Patient Visit History to ensure compliance with payor specific payment window rules • Complete Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module • Calculate patient cost share and be prepared to collect via phone or make payment arrangement